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Ambetter Health Insurance Review

282 Customer Comments & Reviews - see all comments
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Ambetter is a health insurance company owned by the Centene Corporation, which is a multi-national healthcare company that provides programs and services to under-insured and uninsured individuals. Ambetter offers customers affordable health care plans in 14 states including Arkansas, Arizona, Georgia, Florida, Indiana, and Nevada, among others.
 
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Ambetter is Centene Corporation’s option for a health insurance marketplace, so it’s intended for individuals who lack health insurance, and possibly don’t qualify for traditional plans.

What’s Included in Ambetter’s Health Insurance Plans?

Ambetter health insurance plans offer prescription coverage, mental and behavioral health services, integrated care management, maternity and newborn care, 24/7 nurse advice line, Ambetter Telehealth, My Health Pays Rewards, and optional vision and dental coverage for adults.

The company has three plan options to choose from: Ambetter Essential Care, Ambetter Balanced Care, and Ambetter Secure Care, which are classified as bronze, silver, and gold, respectively.

The Ambetter Essential Care offers lower monthly premium payments, but higher out-of-pocket expenses, the Ambetter Balanced Care offers the best balance between monthly premium payments and out-of-pocket expenses, and the Ambetter Secure Care has higher monthly premium payments, but limits your out-of-pocket expenses.

Each plan has a different type of coverage and payment, but all of them include essential health benefits such as emergency services, hospitalization. outpatient or ambulatory services, preventive and wellness services, maternity and newborn care, pediatric services, mental health and substance abuse services, and laboratory services, among others.

Final Thoughts

Overall, Ambetter offers flexible healthcare options that fit different budgets and needs, with a few perks like the company’s My Health Pays Rewards, which allows customers to pay for medical expenses with the money they earn through the program, a 24/7 nurse advice line, and Ambetter Telehealth, which provides 24/7 phone or video access to in-network providers for non-emergency health issues. Additionally, Ambetter members can manage and pay for their account online, and the company’s website offers helpful tools like a provider search engine, and educational articles for those who want to learn more about insurance.

Having said that, Ambetter health insurance also has its drawbacks, like the fact that it’s only available in 15 states, you must sign up during the open enrollment period, and that the company may have stricter requirements to qualify than other traditional insurance companies, so customers should keep this in mind before purchasing.

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282 Customer Comments & Reviews

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evilairbrush
8/5/2022
I thought I was speaking w a rep from the ACA, and he (Luis) did everything in his power NOT to correct me. He sold me a policy and told me that minus my deductible, EVERYTHING would be covered. Surgeries, chemo, radiation, etc...EVERYTHING. He even went as far to send me a list confirming what he was telling me. What he actually signed me up for was and "add on" policy that wasn't even insurance...it was DISCOUNT service for medical bills. Not only that, I asked very clearly if I could use my own doctors and he said absolutely. Just to be sure, I repeated very clearly to him, what he had told me regarding how EVERYTHING would be covered, and he confirmed. I told him I had just been... Read More

johnwholm16
6/19/2022
Try to find a provider that actually accepts this insurance. They are few and far between. Less than 10% of the providers taht Ambetter lists as in network that I have contacted actually accept this insurance.

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Dawn
6/13/2022
My experience with Ambetter from Peach State Health Plan- has left me both mentally, and emotionally exhausted. I wish I could sue them for pain and suffering. I had an off exchange plan with Ambetter. 3 days after my son was born I called Ambetter to add him to my policy. It literally took almost a year to resolve this matter. If it wasn’t for the Office of Commissioner of Insurance- I would still be fighting this battle. However the nightmare is still continuing. All the unpaid claims that the OCI told Ambetter to pay from the previous year-Ambetter has not paid. It’s has almost been 4 months since the OCI told Ambetter to pay up. Needless to say , Ambetter you has not attempted to pay... Read More

halinreno
5/13/2022
The worst insurance company I have ever interacted with. I have never been able to link my membership to my online account as I get the message my membership cannot be found. I've called member services over and over and over and no one can help me. Usually I just end up getting "disconnected" after a while of the customer service representative not knowing what to do. Just the worst. Today I get something in the mail about using Teladoc but when I tried to sign up, it says my plan doesn't work with it. It asks me to put in my membership number and when clicking submit, nothing happens. Stay away from Ambetter!

goreala7
5/4/2022
This company is a literal nightmare! I don't really understand while consumer advocate.org is trying to make them seem like they are better than they are? Because obviously if you look at the 173 ratings they're almost all one star, yet y'all have them write it as four? This company is the worst company on the face of the Earth! My wife's only been a member for 3 days and we have over a dozen phone calls in just trying to set up our primary care provider! She has been put on hold for hours hung up on 10 out of 12 phone calls!!! One lady had roosters and goats in the background the entire time she was actually on the phone then put my wife on hold for 45 minutes then dropped the call. All... Read More

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Tina
4/4/2022
Since signing up with this insurance it has been a long list of lies, lack of correct communication, hang up’s, put on hold and sent to health market. gov. I again hv been on hold 30+ minutes with this insurance addressing an issue I have addressed multiple times. I have spent hours and hours on the phone with reps, managers getting clarity on several issues. I can’t imagine how a person with age, disability or lack of free time would ever be able to try and get to the truth and or clarify if having issues/questions. I can’t even tell you how many case numbers I have been issues since 1/22. This is enough to make a person have a nervous breakdown! How is this normal, not to mention I am... Read More

wendysmithrealtor
4/1/2022
Ambetter Insurance is the worst provider ever. They have foreigners answering the phones, they do not know how to navigate their own systems to answer easy questions like...where can I get blood work, or where can I go to get a bone density test. They have over charged y credit card for monthly premiums, and all I ever get on the phone is "we are sorry ma'am for the inconvenience". I would NOT recommend this insurance, nor would I wish the horrific customer service (which there is none) to my worst enemy. I have never been so frustrated in my life to have to go through these experiences to take care of my health. HORRIBLE COMANY....TERRIBLE...THE WORST

marycarol.forbus
3/30/2022
The insurance is AWFUL. In 4 months I still do not have my insurance cards. I am unable to obtain online access to their system due to a glitch which has been reported 4 times in 4 months. Since I am unable to access their system so I called to obtain copies of MY claims. They are unable to provide them and requested I obtain from my providers. WTF! All representatives request a phone number to return the call and they never do. This operation has been outsourced in the Philippines and who knows where else. My rating would be a -5 stars as in NEGATIVE. They are inept and very arrogant. I dumped this insurance today. They are not worth a cent and I wasted so much time in... Read More

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Anthony A
3/27/2022
Beware the people are money hungry and I bet they are taking advantage of the government as well as customers like me. I had been with Ambetter for a few years and last year I decide not to renew for 2022 because I didn’t like being almost forced to go to the doctor….my philosophy is if it isn’t broke, don’t fix it! I kept getting calls and e-mails that I needed to enroll in Ambetter but I blocked all the calls from them and they finally stopped. Well when I looked over my bank statement I notice Ambetter was take money from my account. I called them up and I get an Asian guy so I explained to him and he assured me that I would get my money back. I waited a few weeks and nothing so I... Read More

babycirrus
2/24/2022
Absolutely incompetent customer service! They will read off scripts rather than try to actually try to help you. They hung up more than once when confronted with a problem that they didn't want to help with. They demanded we get an urgent care to call them about a bill that was supposed to be covered by their policy because they said it was out of network when their website clearly stated it was in network. Stay as far away from this shady company!!!!!

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